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DANIEL LOUIS FAZZINO PA-C
NPI 1013496892
Physician Assistant - Medical in West Hollywood, CA

Active since August 12, 2018PECOS EnrolledAccepts Medicare Assignment
8280 SANTA MONICA BLVD, WEST HOLLYWOOD, CA 90046(203) 217-1746 Get Directions Write a Review

NPPES record last updated: February 25, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 25, 2025, Aug 12, 2018 (2 updates tracked since 2018).

About Daniel Louis Fazzino Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DANIEL LOUIS FAZZINO PA-C (NPI 1013496892) is an individual medical provider in West Hollywood, California, licensed in California (PA55814) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS and is a graduate of Mercer University School Of Medicine (2018).

NPPES Registry Identity

NPI1013496892
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameDANIEL LOUIS FAZZINOCredential: PA-C
Location Address8280 SANTA MONICA BLVDWest Hollywood, CA 90046-5915
Mailing Address8280 Santa Monica BlvdWest Hollywood, CA 90046-5915 · (203) 217-1746
Phone(203) 217-1746
Sole ProprietorNo
Medical School CMSMercer University School Of MedicineGraduated 2018
Enumeration DateAugust 12, 2018
Last NPPES UpdateFebruary 25, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2025
✔ NPI 1013496892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CA · PA55814
8280 SANTA MONICA BLVD, West Hollywood, CA 90046
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Daniel Louis Fazzino Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527303544
PECOS Enrollment IDI20181220000129
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEN'S HEALTH FOUNDATION 8280
General Practice
8280 SANTA MONICA BLVD
WEST HOLLYWOOD, CA 90046
Los Angeles County (424) 245-3486
ANTHONY MARTIN MILLS M D A MEDICAL CORPORATION
Internal Medicine
8280 SANTA MONICA BLVD
WEST HOLLYWOOD, CA 90046
Los Angeles County (424) 245-3486
MR. MELVIN YVANNY VALLE-AMAYA PA-C
Physician Assistant
8280 SANTA MONICA BLVD
WEST HOLLYWOOD, CA 90046
Los Angeles County (424) 245-3486
TIMOTHY DORNELL GRIFFIN ACSW
Social Worker (Clinical)
8280 SANTA MONICA BLVD
WEST HOLLYWOOD, CA 90046
Los Angeles County (310) 550-1010

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Daniel Fazzino's NPI number?

The NPI number for Daniel Fazzino is 1013496892. It was assigned to this individual provider in the NPPES registry on August 12, 2018.

Where is Daniel Fazzino located?

Daniel Fazzino practices at 8280 Santa Monica Blvd, West Hollywood, CA 90046. The listed phone number is (203) 217-1746.

What is Daniel Fazzino's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Daniel Fazzino enrolled in Medicare?

Yes. Daniel Fazzino is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Daniel Fazzino was last updated on February 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.